Livial (Tibolone) 2.5mg

What is Livial (tibolone)?

Livial is a form of hormone replacement therapy (HRT) for postmenopausal women. It contains the active ingredient tibolone, which works on different tissues in the body to emulate the sex hormones oestrogen, progesterone and testosterone. This relieves menopausal symptoms and allows women to carry on with their everyday lives.

Livial is the branded version of Tibolone.

How can I buy Livial (Tibolone) online safely?

This medicine is only available on prescription, and you will only be prescribed Livial tablets if your symptoms are hindering your everyday life. You can buy Livial online from Medicine Direct after an online consultation with one of our registered health professionals. They will give you a prescription for this hormone replacement therapy (HRT) medication if they deem it the most appropriate for you to take.

From there, you can order Livial from our online pharmacy; order by 2pm and we can offer you next day delivery.

To safely buy medicine online, only order it from a registered pharmacy that is regulated by the General Pharmaceutical Council (GPhC), like Medicine Direct.

What are the benefits of Livial (Tibolone)?

Livial tablets are an effective HRT treatment for relieving women's menopausal symptoms, including osteoporosis.

These tablets contain the active ingredient tibolone, which has positive effects on various areas of your body including the brain, vagina and bones. Tibolone breaks down in the body and emulates the sex hormones oestrogen, progesterone and testosterone. This makes it different from most other HRT treatments as most other forms of hormone replacement therapy contain actual sex hormones.

Livial also increases the testosterone levels in a woman's body, which helps to limit some of the side effects that are commonly associated with HRT.

What is the menopause?

The menopause is a condition that affects all women, usually occurring between the ages of 45 and 55. As women get to this age, their ovaries progressively start to produce less oestrogen, which will stop them from having monthly periods. However, the change in hormone levels can cause symptoms that may hinder your daily life.

This may manifest in physical symptoms including:

• Night sweats
• Osteoprorosis
• Vaginal dryness
• Dryness of the eyes
• Spontaneous hot flushes that cause sweating, blushing a stronger heartbeat than usual

Aside from physical symptoms, the menopause can also cause psychological effects, including insomnia, depression and mood swings.

Women will normally experience symptoms for around four years, although it is important to bear in mind that menopausal symptoms affect different women in different ways. Some may get by with very few symptoms at all, while some may suffer from persistent and severe symptoms.

Other alternatives

There are various different hormone replacement therapy treatments available for postmenopausal women. HRT patches are also available to try instead of tablets.

Alternatives to Livial tablets include the likes of Estradot, Elleste, Evorel and Kliofem. These medicines and others are available to order from Medicine Direct after an online consultation with a doctor. Just complete an online consultation and they will discuss treatment options with you.

Who can take Tibolone?

Livial may not be suitable for everyone to take.

Do not take Livial if any of the below applies to you:

• You have any blood clotting disorders
• You are allergic to tibolone or any other ingredient contained in this medicine (please refer to the Ingredients tab for a full list)
• You have, have ever had, or are suspected of having breast cancer
• You have any unexplained vaginal bleeding
• You have (or are suspected of having) a form of cancer that is sensitive to oestrogens, such as cancer of the womb lining
• You have or have had a liver disease and your liver function tests have not returned to normal
• You have excessive thickening of the womb lining that has not been treated
• You suffer from the inherited blood disorder porphyria
• You have or have recently had a disease that was caused by blood clots in the arteries, such as a stroke, heart attack or angina

Speak to your doctor before taking Livial if you have ever had any of the following

• Gallstones
• Fibroids in the womb
• Endometriosis (growth of the womb lining outside the womb), or a history of growth of the womb lining outside the womb
• Epilepsy
• A liver disorder, such as a benign liver tumour
• Diabetes
• An increased risk of developing blood clots
• High blood pressure
• Migraine or severe headaches
• An increased risk of oestrogen-sensitive cancer (for example, having a mother or sister who has suffered from this problem)
• Systemic lupus erythematosus
• Asthma
• Otosclerosis
• Fluid retention from cardiac or kidney problems
• High levels of fat in the blood

Possible side effects

Like all medicines, Livial can cause side effects, although not everyone who takes it will get them.

Common side effects can include:

• Stomach or pelvic pain
• Unusual hair growth
• Breast pain
• Weight gain
• Vaginal problems, such as thrush, itching and irritation
• Thickening of the womb lining or lining of the cervix
• Vaginal bleeding or spotting

Uncommon side effects may include:

• Acne
• Stomach upset
• Swelling in the hands, feet or ankles (fluid retention)
• Vaginal infection
• Uncomfortable breasts or nipple pain

Please note, this list is not exhaustive. Please refer to the Side Effects tab for a list of more serious reactions you may suffer.